<div class="pd-20">
    <form action="" method="post" class="form form-horizontal" action="{:U("Admin/Buyer/addUser")}">
        <div class="row cl">
        	<label class="form-label col-3"><span class="c-red"></span>菜篮子号</label>
            <div class="col-6">
	            <input type="text" class="input-text" placeholder="" id="sort" name="basketid" datatype="*2-16" nullmsg="">
            </div>
            <div class="col-3"></div>
        </div>
        <div class="row cl">
        	<label class="form-label col-3"><span class="c-red"></span>真实姓名</label>
            <div class="col-6">
	            <input type="text" class="input-text" placeholder="" id="sort" name="truename" datatype="*2-16" nullmsg="">
            </div>
            <div class="col-3"></div>
        </div>
        <div class="row cl">
            <label class="form-label col-3"><span class="c-red"></span>套餐金额</label>
            <div class="col-6">
                <input type="number" class="input-text" placeholder="" id="sort" name="discount_money" datatype="*2-16" nullmsg="" value="200">
            </div>
            <div class="col-3">即折扣金额</div>
        </div>
        <div class="row cl">
        	<label class="form-label col-3"><span class="c-red"></span>地址</label>
            <div class="col-6">
	            <input type="text" class="input-text" placeholder="" id="sort" name="address" datatype="*2-16" nullmsg="">
            </div>
            <div class="col-3"></div>
        </div>
        <div class="row cl">
        	<label class="form-label col-3"><span class="c-red"></span>电话</label>
            <div class="col-6">
	            <input type="text" class="input-text" placeholder="" id="sort" name="tell" datatype="*2-16" nullmsg="">
            </div>
            <div class="col-3"></div>
        </div>
        <div class="row cl">
            <div class="col-9 col-offset-3">
                <input name="fomr-add" class="btn btn-success " type="submit" value="&nbsp;提交&nbsp;">
            </div>
        </div>
    </form>
</div>